IMPRIMA A SUA FICHA DE INSCRIÇÃO PARA O CAMPEONATO INFANTIL

RUA FLORENÇA, Nº 140, PRD 7, VILA CECILIA – VIAMÃO/RS

FONE: 3444-1508 / 844-15500

FICHA DE INSCRIÇÃO

EQUIPE: _______________________ RESP.: ____________ FONE: _________

E-MAIL: _____________________________________________

NOME IDENTIDADE ASSINATURA

1. ________________________________________________________________

2. ________________________________________________________________

3. ________________________________________________________________

4. ________________________________________________________________

5. ________________________________________________________________

6. ________________________________________________________________

7. ________________________________________________________________

8. ________________________________________________________________

9. ________________________________________________________________

10. ________________________________________________________________

11. ________________________________________________________________

12. ________________________________________________________________

13. ________________________________________________________________

14. ________________________________________________________________

15. ________________________________________________________________

REUNIÃO: 05/04/10 AS 21h NO GINÁSIO.

INICIO: 10/04/10

DESPESAS: QUADRA + JUIZ + MESARIO + BOLA = R$ 25,00

INSCRÇÃO: R$ 5,00 (ATLETA)